The Florida Office Surgery Registration and Inspection Program was established to register and set standards for allopathic and osteopathic physicians performing surgery in a physician office setting. All offices in which a physician performs liposuction procedures in which more than 1,000 cubic centimeters of supernatant fat is removed, certain Level I procedures, or any Level II or Level III procedures must register with the Department of Health (Department). To ensure the safety of the people of Florida, the Department processes office registration applications, performs preregistration inspections, and annually inspects those registrants that are not nationally accredited.
Registration
When is Registration Required?
Any physician office where liposuction procedures are performed in which more than 1,000 cubic centimeters of supernatant fat is removed, certain Level I procedures are performed, or any Level II or Level III procedures are performed must be registered with the Department unless that office is licensed under Chapter 390 or 395, Florida Statutes. The Department will perform a preregistration inspection of the physician office prior to the approval of a registration. The Department will also inspect the physician office registrant annually unless the office is accredited by a nationally recognized accrediting agency or by an accrediting organization approved by the Florida Board of Medicine (Board). The actual cost for registration and inspection or accreditation is paid by the person or entity seeking to register and operate the physician office at which office surgeries are performed.
Every Florida licensed physician who performs liposuction procedures in which more than 1,000 cubic centimeters of supernatant fat is removed, certain Level I procedures, or any Level II or Level III procedures as fully defined in Rule 64B8-9.009, Florida Administrative Code, must notify the Board office in writing. It is the physician’s responsibility to ensure that every office in which he or she performs regulated procedures is registered regardless of whether other physicians are practicing in the same office or whether the office is non-physician owned. Physicians must notify the Board office at PMC_OSR@flhealth.gov of any changes to their registration information.
Documentation Needed to Register
- An Office Surgery Registration Application signed by the applicant. Note that emailed or faxed copies of the application WILL NOT be accepted.
- The following documents relating to the Designated Physician (if performing surgical procedures) and associated Physicians (Surgeons):
- A copy of the physician’s license.
- A list of procedures the physician will be performing at the facility.
- A copy of the physician’s current ACLS certificate card issued by one of the following providers – American Heart Association, American Safety and Health Institute, Pacific Medical Training, or ACLS Certification Institute.
- A copy of the physician’s board certification certificate or board eligibility letter, or evidence of comparable background, training, and experience. The board credentials or evidence of comparable background, training, and experience must be directly related to and include the procedure(s) being performed by the physician in the office surgery facility.
- A copy of the current letter from a licensed hospital within the required proximity limits where the physician has staff privileges. The privileges must be delineated and must include the same procedures as those the physician intends to perform in the office
surgery facility. - If the physician does not have staff privileges, the physician or the facility where the procedure is being performed must have a current transfer agreement with a licensed hospital within reasonable proximity. “Reasonable proximity” is defined as not exceeding thirty minutes transport time from the office surgery facility to the hospital. A current transfer agreement is one that was entered into no more than five years prior to the date of an inspection, and which affirmatively discloses the effective date on the agreement.
- A Designated Physician must have a clear, active, and unencumbered license and must be a practicing physician at the facility. A Designated Physician does not, however, have to perform surgical procedures at the facility. If not, the Designated Physician must provide a letter to the Department confirming that he or she is practicing at, but not performing surgical procedures at the facility.
- The following documents relating to Anesthesia Providers:
- A copy of the provider’s license.
- A copy of the provider’s current ACLS certificate card if an MD or DO.
- The following documents relating to Recovery Personnel:
- A copy of the provider’s license.
- A copy of the provider’s current ACLS certificate card issued by one of the following providers – American Heart Association, American Safety and Health Institute, Pacific Medical Training, or ACLS Certification Institute.
- For Level III facilities, a written statement or copy of a CV from each provider serving as recovery personnel outlining the provider’s PACU or equivalent experience.
- The following documents are needed for Other Personnel on the surgical team:
- A copy of each provider’s license, if applicable.
- The following documents are needed for Other Personnel if assisting the surgeon:
- A copy of the current BLS certificate card issued by one of the following providers – American Heart Association, American Safety and Health Institute, Pacific Medical Training, or ACLS Certification Institute.
- The following documents are needed if the facility has obtained third-party accreditation:
- A copy of the current accreditation certificate and survey.
Applications and Forms
Office Surgery Registration Application
Physician Office Adverse Incident Report
Resources
Note: The links below are provided as general information for visitors to this website. The Department of Health has not evaluated the information provided in these websites and their inclusion here does not constitute an endorsement of any organization.
Florida Statutes
The following links will connect you to Online Sunshine, the official internet site of the Florida Legislature, which is the official custodian of the Florida Statutes.
Chapter 458.328, Florida Statutes: Office Surgery Registration and Inspection
Chapter 458.351, Florida Statutes: Report of Adverse Incidents in Office Practice Settings
Florida Administrative Code
The following links will connect you to the Florida Department of State: State Library and Archives of Florida website, which is the official custodian of the Florida Administrative Code.
Rule 64B-4.002, F.A.C.: Office Surgery Inspection Fee
Rule 64B-4.003, F.A.C.: Office Surgery Registration Requirements, Fees
Rule 64B8-9.009, F.A.C.: Standard of Care for Office Surgery
Rule 64B8-9.0091, F.A.C.: Registration; Inspection or Accreditation Rule
Rule 64B8-9.001, F.A.C.: Physician Office Incident Reporting
Accrediting Agencies
All office surgery facilities are subject to a preregistration inspection as part of the application process. Unless an office surgery facility has provided written notification of its current accreditation by a nationally recognized accrediting agency or an accrediting organization approved by the Board, the facility must submit to annual inspections by the Department.
All nationally recognized and Board-approved accrediting organizations are held to all Board-approved surgery and anesthesia standards for the purpose of accrediting Florida office surgery facilities.
Nationally recognized accrediting agencies include:
QUAD A
5101 Washington Street, Suite 2F
Gurnee, IL 60031
888-545-5222
Accreditation Association for Ambulatory Health Care
5250 Old Orchard Road, Suite 200
Skokie, IL 60077
847-853-6060
Joint Commission on Accreditation of Healthcare Organizations
One Renaissance Blvd
Oakbrook Terrace, IL 60181
630-792-5000
American Accreditation Commission International (AACI America LLC)
658 E. Sunset Drive
Hendersonville, North Carolina 28791-2098
828-691-1580
Other Helpful Links
Public Records Requests
License Look-Up
License Certification
Reports and Publications
Declaratory Statements and Petitions for Variance or Waivers
FLHealthSource.gov
Federal Resources
HHS.Gov – Health Information Privacy
HHS.Gov – HIPAA Statute and Rule Information
Contact Information
PLEASE NOTE: Florida has very broad public records laws. Most written communications to or from state officials regarding state business are public records available to the public and media upon request. Your communications with the Department of Health or the Board of Medicine may be subject to public disclosure.
For general questions about licensure or renewal, contact:
Licensure Support Services
Customer Contact Center
Monday-Friday, 8:00 a.m. to 6:00 p.m. ET
(850) 488-0595
Department of Health
Board of Medicine
8:00 a.m. to 5:00 p.m. ET
PHONE: 850-245-4131
FAX: (850) 488-0596 or (850) 412-1268
EMAIL: info@flboardofmedicine.gov
Mailing Address for APPLICATIONS and FEES ONLY:
Department of Health
Board of Medicine
P.O. Box 6330
Tallahassee, FL 32314-6330
General Mailing Address:
Department of Health
Board of Medicine
4052 Bald Cypress Way, Bin C-03
Tallahassee, FL 32399-3253
